Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $3,107.00 / $8,431.00	Facility		$2,583.13	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.75 / $862.75 / $862.75	Professional		$862.75	$862.75	$862.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.35 / $1,079.40 / $1,295.28	Professional		$840.35	$1,079.40	$1,295.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,133.80 / $1,273.85 / $1,481.24	Professional		$1,133.80	$1,273.85	$1,481.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $949.87 / $1,036.22 / $1,208.93	Professional		$949.87	$1,036.22	$1,208.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.90 / $1,079.40 / $1,399.70	Professional		$876.90	$1,079.40	$1,399.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $784.35 / $4,635.00 / $11,157.00	Professional		$784.35	$4,635.00	$11,157.00